| NPI | 1417451642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA MD480973) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: KS 94-09580) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2023-06-19 |